A5081224781- Traumatic Brain Injury and Neurovascular Disturbances
- Acute Ischemic Stroke Management
- Cardiac Arrest and Resuscitation
- Stroke Rehabilitation and Recovery
- Traumatic Brain Injury Research
- Cerebrovascular and Carotid Artery Diseases
- Venous Thromboembolism Diagnosis and Management
- Heart Failure Treatment and Management
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Emergency and Acute Care Studies
- Electronic Health Records Systems
- EEG and Brain-Computer Interfaces
- Patient Safety and Medication Errors
- Bacterial Infections and Vaccines
- Health Policy Implementation Science
- Cerebrospinal fluid and hydrocephalus
- Healthcare Quality and Management
- Patient Satisfaction in Healthcare
- Power System Reliability and Maintenance
- CNS Lymphoma Diagnosis and Treatment
- Neuroscience and Neural Engineering
- Data Quality and Management
- Chronic Lymphocytic Leukemia Research
Intermountain Healthcare
2020-2024
Intermountain Medical Center
2020-2023
Cotton (United States)
2022
Columbia University
2022
Hôpital Jean Jaurès
2022
Johns Hopkins University
2007-2019
Johns Hopkins Medicine
2008-2019
Johns Hopkins Hospital
2007-2018
Johns Hopkins Bayview Medical Center
2009
Georgia Institute of Technology
1984-1987
Although many hospitalized neuroscience patients have physical and occupational therapy (rehabilitation) needs, with none or minimal impairments frequently receive rehabilitation consultation, diverting from greatest need.A multidisciplinary team on the general cerebrovascular neurology acute inpatient services mapped consultation process, resulting in multiple implemented interventions including physician education appropriate consultations, modification of rounds, discussion patient needs...
As quality improvement and patient safety come to play a larger role in health care, academic medical centers systems are poised take leadership addressing these issues. Academic can leverage their large integrated footprint have the ability innovate this field. However, robust management infrastructure is needed support efforts. In context, often described at executive level unit level. Yet, of individual departments, which dominant functional within hospital, realizing system goals has not...
Lateral brain displacement has been associated with loss of consciousness and poor outcome in a range acute neurologic disorders. We studied the association between lateral awakening from coma.This prospective observational study included all new onset coma patients admitted to Neurosciences Critical Care Unit (NCCU) over 12 consecutive months. Head computed tomography (CT) scans were analyzed independently at onset, after awakening, follow-up. Primary measure was defined as ability follow...
Background: Rapid administration of hypertonic saline 23.4% is crucial in treatment herniation syndromes. Hypertonic must be administered via a central line. In cases where line access difficult to obtain and leads delay therapy, placement intraosseous can lifesaving. Main body: The purpose this case series describe the use critically ill patients assess feasibility. Conclusion: Intraosseous 6 adult with neurological emergencies was feasible should considered obtaining intravenous time consuming.
Abstract Methods for long‐term recording of peripheral nerve activity via intrafascicular electrodes have not been optimized. We compared the functionality custom‐made 95%Pt/5%Ir containing a proximal spring‐like structure to that conventional straight electrodes. The modified electrode was implanted into sciatic fascicle random hind limb in 14 rabbits 9 months. A opposite as control. Orthodromic and antidromic potentials were sampled analyzed monthly. Latency, amplitude, conduction velocity...
Introduction: Reducing unplanned hospital readmissions has become a national focus due to the Centers for Medicare and Medicaid Services’ (CMS) penalties hospitals with high rates. A first step in reducing readmission is understand which patients are at risk readmission, planned, how well planned currently captured comparison patient-level chart review. Methods: We examined all 5455 inpatient neurology admissions over 2-year period University of California San Francisco Medical Center Johns...
Cardiac arrest (CA) can produce complex changes in somatosensory evoked potentials (SSEPs). Somatosensory (SSEPs) indicate the intactness of pathways and are commonly used for brain function monitoring during surgeries. Multiresolution biorthogonal wavelet analysis was applied to SSEPs recorded established CA experiments post-CA long-term recovery periods rats. Our results showed that first 4 hours after CA, amplitudes SSEP, defined here as difference between P23 N20, decreased greatly while...
Faster delivery of tPA (tissue-type plasminogen activator) results in better health outcomes for eligible patients with stroke. Standardization stroke protocols emergency departments (EDs) has been difficult, especially nonstroke centers. We measured the effectiveness a centrally led implementation strategy local site tailoring to sustain adherence an acute protocol improve door-to-needle (DTN) times across disparate EDs multihospital system.
Predicting the frequency of calls for telestroke and emergency teleneurology consultation is essential to prepare staffing immediate management time-sensitive strokes. In this study, we evaluate Poisson distribution count data using a generalized linear model that predicts volume hourly over 24-h period.
Teleneurocritical care (TNCC) provides virtual for hospitals who do not have continuous neurointensivist coverage. It is known if TNCC cost effective nor which variables impact the total billed charges per patient encounter. We characterize cost, defined by charge characteristics of compared to in-person neurocritical (NCC), patients with acute ischemic or hemorrhagic stroke requiring ICU care.
Delays in patient hospital discharge affect care value through costs of prolonged length stay and barriers to flow within the hospital. We sought facilitate early-in-day discharges (EIDDs) without extending for inpatients with multiple sclerosis admitted acute exacerbations treated intravenous (IV) methylprednisolone.We developed a standardized admission order set, provider checklist, checklist better coordinate in-hospital planning patients IV methylprednisolone treatment. The set allowed...